Article Text

PDF
Case series
Expanding the role of stent-retriever endovascular thrombectomy: a case series of free-floating thrombus
  1. Neasa Fitzpatrick1,
  2. Ronan Motyer2,
  3. Brian Gibney3,
  4. Sharon Duffy4,
  5. Sean Murphy5,
  6. Paul O’Brien6,
  7. Daniel Ryan1,
  8. John Thornton7
  1. 1Acute Stroke Service, The Adelaide and Meath Hospital, Dublin, Ireland
  2. 2Department of Radiology, The Adelaide and Meath Hospital, Dublin, Ireland
  3. 3Department of Radiology, The Mater Misericordiae University Hospital, Dublin, Ireland
  4. 4Galway Medical Technology Centre, Galway-Mayo Institute of Technology, Galway, Ireland
  5. 5Department of Geriatric and Stroke Medicine, The Mater Misericordiae University Hospital, Dublin, Ireland
  6. 6Department of Geriatric and Stroke Medicine, Naas General Hospital, Naas, Co. Kildare, Ireland
  7. 7Department of Radiology, Beaumont Hospital and Royal College of Surgeons Ireland, Dublin, Ireland
  1. Correspondence to Dr Neasa Fitzpatrick, Acute Stroke Service, Tallaght Hospital, Dublin, Ireland; fitzpane{at}tcd.ie

Abstract

Carotid artery free-floating thrombus (FFT) is a rare but clinically significant cause of embolic stroke. Treatment has historically been confined to carotid surgery or best medical therapy, with neither option proved to be superior. However, recent advancements in endovascular interventions have heralded a new age of innovative management strategies for vascular disease. We present three distinct cases of stroke secondary to carotid artery FFT, successfully treated with stent retriever endovascular thrombectomy.

  • interventional neuroradiology
  • endovascular
  • stroke
  • large vessel occlusion
  • thrombectomy
  • free floating thrombus

Statistics from Altmetric.com

Footnotes

  • Contributors NF: lead author, collected and reported details of cases 1 and 3, drafted and revised the manuscript, approved submitted version and agrees to be accountable for all aspects of the work. RM: drafted and revised the manuscript, approved submitted version and agrees to be accountable for all aspects of work. BG: collected and reported details of case 2, revised the manuscript, approved submitted version and agrees to be accountable for all aspects of work. SD: performed data analysis, approved submitted version and agrees to be accountable for all aspects of work. SM, DR, PO’B: senior authors, advised on service implementation, advised and revised the manuscript, approved submitted version and agree to be accountable for all aspects of the work. JT: senior author, implemented and directed service, acquired data, advised and revised the manuscript, approved submitted version and agrees to be accountable for all aspects of the work.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests SD’s data collection was partially funded by Neuravi, Ltd, as part of a wider research project with the Galway-Mayo Institute of Technology.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.